Michele Evonne Haberman, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U00715 Issued in MD

Practice address

2124 Priest Bridge Dr
Suite #10
Crofton, MD 21114-2936

Phone

(410) 721-3789

Fax

(410) 721-3036

NPI assigned

Feb 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043358682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 GAMBRILLS LN",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541017",
            "telephone_number": "410-674-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 PRIEST BRIDGE DR",
            "address_2": "SUITE #10",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142936",
            "telephone_number": "410-721-3789",
            "fax_number": "410-721-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "MICHELE",
        "middle_name": "EVONNE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BL55ME",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Grey
• Andrea Griffin, PH.D. PSYD
• Lyndsey Griffin
• Kristin Lundeen Grizzell, D.AC.
• Kylie Grzybowski
• Matthew Peter Halstad
• Michelly Halwick
• Alison Hamilton, MSW
• Angel Hampton
• Doncella Frances Hampton, LICSW

• Acupuncturist in Crofton, MD
• Providers in Crofton, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.